MS. Lisa Kay Gustafson, MS/LCPC
MS. Lisa Kay Gustafson, MS/LCPC is a Mental Health Counselor in Ottawa, Illinois. Qualified in 1997, 29 years ago. Practices with Mendota Community Hospital, a 51-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 29
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
424 W Madison StOttawa, IL 61350-2833
Phone: (815) 431-3022
Fax: (815) 433-3980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 180.004529 (IL) |
|---|
Record details
| NPI number | 1962666875 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MS/LCPC |
| Sole proprietor | No |
| NPI enumerated | July 10, 2008 |
| Last updated in NPPES | July 10, 2008 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Mendota Community Hospital — 51 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Mrs. Beth Anne Aussem, LCPC
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Teresa Macdavitt, LCPC
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Matthew Benton Makeever, MA, LPC, NCC
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